Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen

Amat Al-Khaleq O. Mehrass; Abdulelah H. Al-Adhroey; Abdullatif D. Ali

doi:doi:10.11648/j.ajhr.20160404.13

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Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen

Amat Al-Khaleq O. Mehrass, Abdulelah H. Al-Adhroey, Abdullatif D. Ali

Published in American Journal of Health Research (Volume 4, Issue 4)

Received: 6 June 2016 Accepted: 16 June 2016 Published: 29 June 2016

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Abstract

Compared to vaginal deliveries, caesarean section (C-section) is a major surgery that could be associated with higher risks of maternal and infant mortality and morbidity. In Yemen, some recent reports indicated overuses of C-section. This was a cross-sectional study aimed to assess the risk ratio difference in C-section exposure between Yemeni mothers according to their demographic variables. A total of 400 participants of reproductive age visiting health centers for obstetric care in the central area of the western highlands of Yemen were randomly interviewed using a pretested questionnaire. The results found that the prevalence of C-section exposure among the study participants was 22%. Mothers’ demographic variables showed significant differences in the risk ratio of C-section exposure. Among these variables, large differences in the risk ratio of C-section exposure were estimated between urban versus rural (RR = 3.9, ER = 2.9, P ˂ 0.001) and literate versus illiterate mothers (RR = 3.8, ER = 2.8, P ˂ 0.001). Relatively moderate differences were revealed by parity and maternal age variables (RR = 2.7; ER = 1.7; P ˂ 0.001, RR = 2.6; ER = 1.6; P ˂ 0.001, respectively). Age at marriage, employment status, and visiting health services practice, however, were associated with low differences in the C-section exposure. To strengthen the mother and infant health programs in Yemen, maternal variables including place of residence and educational status should be considered as predictors for either an unnecessary or additionally needed C-section.

Published in	American Journal of Health Research (Volume 4, Issue 4)
DOI	10.11648/j.ajhr.20160404.13
Page(s)	86-90
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Caesarean Section, Demographic Variables, Risk Ratio, Maternal and Infant Health, Obstetric Care, Yemen

References

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APA Style

Amat Al-Khaleq O. Mehrass, Abdulelah H. Al-Adhroey, Abdullatif D. Ali. (2016). Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen. American Journal of Health Research, 4(4), 86-90. https://doi.org/10.11648/j.ajhr.20160404.13

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ACS Style

Amat Al-Khaleq O. Mehrass; Abdulelah H. Al-Adhroey; Abdullatif D. Ali. Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen. Am. J. Health Res. 2016, 4(4), 86-90. doi: 10.11648/j.ajhr.20160404.13

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AMA Style

Amat Al-Khaleq O. Mehrass, Abdulelah H. Al-Adhroey, Abdullatif D. Ali. Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen. Am J Health Res. 2016;4(4):86-90. doi: 10.11648/j.ajhr.20160404.13

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@article{10.11648/j.ajhr.20160404.13,
  author = {Amat Al-Khaleq O. Mehrass and Abdulelah H. Al-Adhroey and Abdullatif D. Ali},
  title = {Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen},
  journal = {American Journal of Health Research},
  volume = {4},
  number = {4},
  pages = {86-90},
  doi = {10.11648/j.ajhr.20160404.13},
  url = {https://doi.org/10.11648/j.ajhr.20160404.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20160404.13},
  abstract = {Compared to vaginal deliveries, caesarean section (C-section) is a major surgery that could be associated with higher risks of maternal and infant mortality and morbidity. In Yemen, some recent reports indicated overuses of C-section. This was a cross-sectional study aimed to assess the risk ratio difference in C-section exposure between Yemeni mothers according to their demographic variables. A total of 400 participants of reproductive age visiting health centers for obstetric care in the central area of the western highlands of Yemen were randomly interviewed using a pretested questionnaire. The results found that the prevalence of C-section exposure among the study participants was 22%. Mothers’ demographic variables showed significant differences in the risk ratio of C-section exposure. Among these variables, large differences in the risk ratio of C-section exposure were estimated between urban versus rural (RR = 3.9, ER = 2.9, P ˂ 0.001) and literate versus illiterate mothers (RR = 3.8, ER = 2.8, P ˂ 0.001). Relatively moderate differences were revealed by parity and maternal age variables (RR = 2.7; ER = 1.7; P ˂ 0.001, RR = 2.6; ER = 1.6; P ˂ 0.001, respectively). Age at marriage, employment status, and visiting health services practice, however, were associated with low differences in the C-section exposure. To strengthen the mother and infant health programs in Yemen, maternal variables including place of residence and educational status should be considered as predictors for either an unnecessary or additionally needed C-section.},
 year = {2016}
}

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TY - JOUR
T1 - Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen
AU - Amat Al-Khaleq O. Mehrass
AU - Abdulelah H. Al-Adhroey
AU - Abdullatif D. Ali
Y1 - 2016/06/29
PY - 2016
N1 - https://doi.org/10.11648/j.ajhr.20160404.13
DO - 10.11648/j.ajhr.20160404.13
T2 - American Journal of Health Research
JF - American Journal of Health Research
JO - American Journal of Health Research
SP - 86
EP - 90
PB - Science Publishing Group
SN - 2330-8796
UR - https://doi.org/10.11648/j.ajhr.20160404.13
AB - Compared to vaginal deliveries, caesarean section (C-section) is a major surgery that could be associated with higher risks of maternal and infant mortality and morbidity. In Yemen, some recent reports indicated overuses of C-section. This was a cross-sectional study aimed to assess the risk ratio difference in C-section exposure between Yemeni mothers according to their demographic variables. A total of 400 participants of reproductive age visiting health centers for obstetric care in the central area of the western highlands of Yemen were randomly interviewed using a pretested questionnaire. The results found that the prevalence of C-section exposure among the study participants was 22%. Mothers’ demographic variables showed significant differences in the risk ratio of C-section exposure. Among these variables, large differences in the risk ratio of C-section exposure were estimated between urban versus rural (RR = 3.9, ER = 2.9, P ˂ 0.001) and literate versus illiterate mothers (RR = 3.8, ER = 2.8, P ˂ 0.001). Relatively moderate differences were revealed by parity and maternal age variables (RR = 2.7; ER = 1.7; P ˂ 0.001, RR = 2.6; ER = 1.6; P ˂ 0.001, respectively). Age at marriage, employment status, and visiting health services practice, however, were associated with low differences in the C-section exposure. To strengthen the mother and infant health programs in Yemen, maternal variables including place of residence and educational status should be considered as predictors for either an unnecessary or additionally needed C-section.
VL - 4
IS - 4
ER -

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Author Information

Amat Al-Khaleq O. Mehrass

Department of Gynaecology and Obstetrics, Faculty of Medicine and Health Sciences, Thamar University, Dhamar, Yemen
Abdulelah H. Al-Adhroey

Division of Applied Medicine, Faculty of Medicine and Health Sciences, Thamar University, Dhamar, Yemen
Abdullatif D. Ali

Department of Biochemistry, Faculty of Medicine and Health Sciences, Thamar University, Dhamar, Yemen

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APA Style

Amat Al-Khaleq O. Mehrass, Abdulelah H. Al-Adhroey, Abdullatif D. Ali. (2016). Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen. American Journal of Health Research, 4(4), 86-90. https://doi.org/10.11648/j.ajhr.20160404.13

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ACS Style

Amat Al-Khaleq O. Mehrass; Abdulelah H. Al-Adhroey; Abdullatif D. Ali. Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen. Am. J. Health Res. 2016, 4(4), 86-90. doi: 10.11648/j.ajhr.20160404.13

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AMA Style

Amat Al-Khaleq O. Mehrass, Abdulelah H. Al-Adhroey, Abdullatif D. Ali. Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen. Am J Health Res. 2016;4(4):86-90. doi: 10.11648/j.ajhr.20160404.13

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@article{10.11648/j.ajhr.20160404.13,
  author = {Amat Al-Khaleq O. Mehrass and Abdulelah H. Al-Adhroey and Abdullatif D. Ali},
  title = {Risk Ratio Differences in the Exposure to Caesarean Section in the Central Area of the Western Highlands of Yemen},
  journal = {American Journal of Health Research},
  volume = {4},
  number = {4},
  pages = {86-90},
  doi = {10.11648/j.ajhr.20160404.13},
  url = {https://doi.org/10.11648/j.ajhr.20160404.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20160404.13},
  abstract = {Compared to vaginal deliveries, caesarean section (C-section) is a major surgery that could be associated with higher risks of maternal and infant mortality and morbidity. In Yemen, some recent reports indicated overuses of C-section. This was a cross-sectional study aimed to assess the risk ratio difference in C-section exposure between Yemeni mothers according to their demographic variables. A total of 400 participants of reproductive age visiting health centers for obstetric care in the central area of the western highlands of Yemen were randomly interviewed using a pretested questionnaire. The results found that the prevalence of C-section exposure among the study participants was 22%. Mothers’ demographic variables showed significant differences in the risk ratio of C-section exposure. Among these variables, large differences in the risk ratio of C-section exposure were estimated between urban versus rural (RR = 3.9, ER = 2.9, P ˂ 0.001) and literate versus illiterate mothers (RR = 3.8, ER = 2.8, P ˂ 0.001). Relatively moderate differences were revealed by parity and maternal age variables (RR = 2.7; ER = 1.7; P ˂ 0.001, RR = 2.6; ER = 1.6; P ˂ 0.001, respectively). Age at marriage, employment status, and visiting health services practice, however, were associated with low differences in the C-section exposure. To strengthen the mother and infant health programs in Yemen, maternal variables including place of residence and educational status should be considered as predictors for either an unnecessary or additionally needed C-section.},
 year = {2016}
}

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